Centre of Leadership & Professional Development (CLPD), Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Malaysia.
JMIR Res Protoc. 2024 Sep 30;13:e58692. doi: 10.2196/58692.
Nurses face high levels of stress and emotional exhaustion due to heavy workloads and demanding work environments. Prolonged exposure to these stressors predisposes nurses to burnout, which can adversely affect patient care. Addressing burnout among nurses requires a multifaceted approach, involving both personal and organizational strategies. While organizational strategies target systemic workplace issues, personal interventions are often favored for their ease of implementation, immediate benefits, and empowerment of health care workers through stress management and resilience-building. Prioritizing evidence-based interventions to mitigate burnout among nurses is crucial for managing occupational stress and promoting well-being. Person-directed psychoeducation is an effective personal intervention strategy used to equip nurses with the appropriate knowledge and skills to handle stressors, thereby safeguarding their mental health and ensuring high-quality patient care.
This protocol proposes a systematic review that aims to identify and assess the effectiveness of person-directed psychoeducational interventions for nurses. The review aims to pinpoint effective interventions that can be implemented to manage burnout and support the mental health of nurses.
This systematic review will follow the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. In total of 5 electronic databases (PubMed-MEDLINE, EBSCOhost, Ovid MEDLINE, Scopus, and ScienceDirect) will be searched for studies published between January 1, 2014, and December 31, 2023. The search will encompass 3 main keywords: "nurses," "burnout intervention," and "burnout." Predefined eligibility criteria will guide the screening process. Data will be extracted to address the objectives of the review. The risk of bias for each study will be assessed using Joanna Briggs Institute Critical Appraisal Tools.
Preliminary searches have been initiated since February 2024, with the review expected to be completed by June 2024. The expected results will include a comprehensive list of psychoeducational interventions and their effectiveness in reducing burnout among nurses. The review will highlight interventions that demonstrate significant impact in published studies from various countries.
Given the rising prevalence of burnout among nurses and its detrimental effects on individuals and health care organizations, the findings from this systematic review are expected to inform health care policy and practice. By evaluating different interventions, it will provide insights into the most effective strategies, contributing to evidence-based practices that support nurses' mental health and well-being. The findings can support stakeholders in developing and implementing targeted strategies to combat nurse burnout, ultimately enhancing the quality of patient care and health care delivery. In addition, the findings will also offer valuable information for researchers, guiding future practice and research in this area.
PROSPERO CRD42024505762; https://tinyurl.com/4p84dk3d.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/58692.
护士由于工作量大、工作环境要求高，面临着高水平的压力和情绪疲惫。长期暴露于这些压力源会使护士易患倦怠，从而对患者护理产生不利影响。解决护士的倦怠问题需要采取多方面的方法，包括个人和组织策略。虽然组织策略针对的是系统性的工作场所问题，但个人干预措施通常因其易于实施、即时效益以及通过压力管理和增强适应力来赋予医疗保健工作者权力而受到青睐。优先考虑减轻护士倦怠的循证干预措施对于管理职业压力和促进幸福感至关重要。面向个人的心理教育是一种有效的个人干预策略，用于为护士提供应对压力源的适当知识和技能，从而保障他们的心理健康并确保高质量的患者护理。
本方案提出了一项系统评价，旨在确定和评估面向个人的心理教育干预措施对护士的有效性。该评价旨在确定可以实施的有效干预措施，以管理倦怠并支持护士的心理健康。
本系统评价将遵循 PRISMA（系统评价和荟萃分析的首选报告项目）指南。总共将在 5 个电子数据库（PubMed-MEDLINE、EBSCOhost、Ovid MEDLINE、Scopus 和 ScienceDirect）中搜索 2014 年 1 月 1 日至 2023 年 12 月 31 日期间发表的研究。搜索将包含 3 个主要关键词：“护士”、“倦怠干预”和“倦怠”。预定义的纳入标准将指导筛选过程。将提取数据以解决审查的目标。将使用 Joanna Briggs 研究所的批判性评估工具评估每项研究的偏倚风险。
自 2024 年 2 月以来已进行了初步搜索，预计审查将于 2024 年 6 月完成。预期结果将包括一份全面的心理教育干预措施清单及其在减少护士倦怠方面的有效性。该审查将突出显示来自不同国家的发表研究中显示出显著影响的干预措施。
鉴于护士倦怠的患病率不断上升及其对个人和医疗保健组织的不利影响，这项系统评价的结果预计将为医疗保健政策和实践提供信息。通过评估不同的干预措施，将深入了解最有效的策略，为支持护士心理健康和幸福感的循证实践提供依据。调查结果可以为利益相关者制定和实施有针对性的策略以应对护士倦怠提供支持，最终提高患者护理质量和医疗保健服务的提供。此外，调查结果还将为研究人员提供有价值的信息，指导该领域未来的实践和研究。
PROSPERO CRD42024505762；https://tinyurl.com/4p84dk3d。
国际注册报告标识符（IRRID）：DERR1-10.2196/58692。
